Colon cancer surveillance in inflammatory bowel disease: unclear gain but no psychological pain?

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dc.contributor.authorMountifield, R.
dc.contributor.authorBampton, P.
dc.contributor.authorProsser, R.
dc.contributor.authorMikocka-Walus, A.
dc.contributor.authorAndrews, J.
dc.date.issued2014
dc.description.abstractBACKGROUND: Surveillance for colorectal neoplasia in inflammatory bowel disease (IBD) is widely practised despite a lack of convincing mortality reduction. The psychological impact of this approach is largely unexplored. AIM: To examine psychological well-being among IBD subjects undergoing colonoscopic surveillance for colorectal cancer (CRC). METHODS: A cross-sectional study was performed by interrogating an IBD database for subjects currently enrolled in colonoscopic surveillance programmes. Identified surveillance subjects were age- and gender-matched with IBD control subjects not meeting surveillance criteria. Subjects were mailed a questionnaire including demographic details, the Short Form 36 (SF-36) survey to assess quality of life, the Spielberger State-Trait Personality Inventory, the Multidimensional Health Locus of Control, and a Risk Perception Questionnaire. RESULTS: One hundred and thirty-nine of 286 (49%) subjects responded, 53% male, 46% Crohn disease. Fifty-six per cent respondents were in the surveillance group. Surveillance subjects were older (55.4 vs 51.1 years; P = .048) with longer disease duration, but otherwise had comparable demographics with controls. Overall, quality of life was not significantly different between cohorts (mean SF-36 63.82 vs 65.48; P = 0.70). Groups did not differ on any locus of control classification (P = 0.52), nor was there any difference between mean scores on 'state' subscales of the Spielberger State-Trait Personality Inventory: anxiety (P = 0.91), curiosity (P = 0.12), anger (P = 0.81) or depression (P = 0.70). Both groups grossly overestimated their perceived lifetime risk of CRC at 50%, with no difference between surveillance and control subjects (P = 1.0). CONCLUSIONS: Enrolment in colonoscopic colon cancer surveillance does not appear to impair psychological well-being in individuals with IBD despite longer disease duration. IBD patients overestimate their risk of CRC.
dc.description.statementofresponsibilityR. Mountifield, P. Bampton, R. Prosser, A. Mikocka-Walus and J. M. Andrews
dc.identifier.citationInternal Medicine Journal, 2014; 44(2):131-138
dc.identifier.doi10.1111/imj.12317
dc.identifier.issn1444-0903
dc.identifier.issn1445-5994
dc.identifier.orcidMikocka-Walus, A. [0000-0003-4864-3956]
dc.identifier.orcidAndrews, J. [0000-0001-7960-2650]
dc.identifier.urihttp://hdl.handle.net/2440/87821
dc.language.isoen
dc.publisherWiley
dc.rights© 2013 The Authors; Internal Medicine Journal © 2013 Royal Australasian College of Physicians
dc.source.urihttps://doi.org/10.1111/imj.12317
dc.subjectinflammatory bowel disease
dc.subjectcancer surveillance
dc.subjectanxiety
dc.subjectrisk perception
dc.subjectCRC
dc.titleColon cancer surveillance in inflammatory bowel disease: unclear gain but no psychological pain?
dc.typeJournal article
pubs.publication-statusPublished

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